Healthcare Provider Details

I. General information

NPI: 1184550972
Provider Name (Legal Business Name): SELAH SPACE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2026
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 PORTLAND ST
CELINA OH
45822-2038
US

IV. Provider business mailing address

330 PORTLAND ST
CELINA OH
45822-2038
US

V. Phone/Fax

Practice location:
  • Phone: 419-733-4346
  • Fax:
Mailing address:
  • Phone: 419-733-4346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. AARON D KUHN
Title or Position: OWNER/COUNSELOR
Credential: LPCC-S
Phone: 419-733-4346